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Konjac A

Also known as: Konjac Glucomannan, Konjac fiber, Konjac flour, Konjac polysaccharide, KGM

Overview

Konjac glucomannan (KGM) is a water-soluble polysaccharide derived from the tubers of the *Amorphophallus konjac* plant. It is a high-molecular-weight fiber composed primarily of glucose and mannose units. Traditionally used in East Asian cuisine, it is now widely available as a dietary supplement. KGM is characterized by its high viscosity and ability to form a gel-like substance when mixed with water. This property contributes to its primary uses, which include weight management, cholesterol reduction, glycemic control, and improving gut health. Research on KGM is moderately mature, with numerous randomized controlled trials and meta-analyses investigating its effects on lipid and glucose metabolism, as well as weight loss. While some evidence supports its lipid-lowering and glycemic benefits, the evidence for weight loss is less consistent.

Benefits

Konjac glucomannan has demonstrated benefits in several key areas. A systematic review and meta-analysis of RCTs showed that KGM significantly reduces LDL cholesterol levels, contributing to cardiovascular risk reduction. It also improves glycemic control by lowering postprandial blood glucose and improving markers of type II diabetes, likely through delayed carbohydrate absorption and increased GLP-1 secretion. While evidence for weight management is less conclusive, some studies suggest modest benefits in obese populations, potentially linked to increased satiety and gut microbiota modulation. Supplementation may also increase gut microbial diversity, which could have broader metabolic benefits. These benefits are primarily observed in overweight/obese adults and individuals with type II diabetes or hyperlipidemia. The LDL cholesterol reduction is statistically significant and clinically relevant, while weight loss effects are small and not statistically significant in pooled data. Improvements in lipid and glycemic profiles are typically observed within weeks to a few months of supplementation.

How it works

Konjac glucomannan works primarily by forming a viscous gel in the gastrointestinal tract. This gel slows gastric emptying and delays the absorption of nutrients, including carbohydrates, which helps to reduce postprandial glucose spikes. KGM also binds bile acids, promoting their excretion and subsequently lowering LDL cholesterol levels. Furthermore, the fermentation of KGM by gut microbiota produces short-chain fatty acids, which are beneficial for gut health. These actions are mediated through indirect effects, such as the enhancement of GLP-1 secretion and the modulation of bile acid metabolism. Since KGM is not absorbed, its effects are localized to the gut lumen.

Side effects

Konjac glucomannan is generally regarded as safe, with minimal systemic absorption. The most common side effects are gastrointestinal discomfort, including bloating, flatulence, diarrhea, or constipation. These effects are typically mild and transient. Uncommon side effects include rare allergic reactions or esophageal obstruction if not taken with sufficient water. Individuals with esophageal motility disorders or intestinal obstruction should avoid its use. Due to its gel-forming properties, KGM may reduce the absorption of oral medications if taken simultaneously; therefore, spacing doses is recommended. Caution is advised in elderly individuals or those with swallowing difficulties. While serious adverse effects are rare, it is crucial to ensure adequate hydration when taking KGM to minimize the risk of esophageal obstruction.

Dosage

The minimum effective dose of konjac glucomannan is typically around 3 grams per day, divided into multiple doses. Optimal dosage ranges are generally between 3 and 4 grams per day for lipid and glycemic control. While doses up to 15 grams per day have been used in studies without serious adverse effects, higher doses increase the likelihood of gastrointestinal side effects. It is recommended to take KGM before meals with plenty of water to maximize satiety and reduce the risk of choking. KGM is available in various forms, including powder, capsules, and incorporated into foods like noodles. Since KGM is not absorbed, its efficacy depends on its ability to form a gel in the gut. Adequate hydration is essential for its proper function and to prevent adverse effects.

FAQs

Does konjac glucomannan cause weight loss?

Evidence from well-controlled trials does not consistently support significant weight loss compared to placebo, although some individual studies suggest modest benefits.

Is it safe for long-term use?

Yes, konjac glucomannan is generally safe for long-term use with proper hydration and avoidance in individuals with swallowing difficulties.

When should I take it?

It is best taken before meals with water to enhance satiety and reduce postprandial glucose spikes.

Can it interact with medications?

Yes, it may impair the absorption of some drugs; separating dosing by at least 1 hour is advisable to minimize interactions.

Is it effective for cholesterol?

Yes, konjac glucomannan has demonstrated significant LDL cholesterol-lowering effects in multiple studies.

Research Sources

  • https://pubmed.ncbi.nlm.nih.gov/28356275/ – This systematic review and meta-analysis of RCTs found that konjac glucomannan significantly reduces LDL cholesterol levels. The included studies had adequate sample sizes, and the overall high-quality evidence supports the lipid-lowering effects of KGM, despite some heterogeneity in study designs.
  • https://pubmed.ncbi.nlm.nih.gov/24533610/ – This systematic review and meta-analysis of RCTs involving overweight/obese participants showed no statistically significant weight loss with konjac glucomannan compared to placebo. The reporting quality varied among the included studies, and adverse events were generally mild gastrointestinal symptoms.
  • https://www.mdpi.com/2072-6643/15/3/601 – This systematic review and meta-analysis demonstrated that konjac glucomannan improves postprandial glycemic response and increases GLP-1 levels. The findings support its use in the management of type II diabetes, with adequate sample sizes and statistically significant effects observed.
  • https://examine.com/research-feed/study/9QWGD1/ – This RCT found that konjac supplementation increased gut microbial diversity and resulted in modest weight loss in obese subjects. These results suggest a potential secondary mechanism for metabolic benefits through gut microbiota modulation.
  • https://pmc.ncbi.nlm.nih.gov/articles/PMC6925537/ – This mechanistic study confirmed that konjac glucomannan increases GLP-1 secretion and delays glucose absorption. These findings provide a mechanistic basis for the observed metabolic effects of KGM, particularly in relation to glycemic control.

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